Abstract
Introduction: Non-communicable Diseases (NCDs) are the major public health problem that leads to high morbidity and mortality in the world including Nepal. Government of Nepal has launched the Multi-sectoral NCD Action Plan in 2014 and established NCD and Injuries Poverty Commission in 2016 for the management and control of NCDs nevertheless the implementation status and its outcomes are not identified till date at the local level.
 Objectives: To explore the preparedness of the local government for the prevention and control of NCDs at Gaindakot, Nawalpur, Nepal.
 Methodology: A qualitative study was conducted in the Gaindakot municipality; Nawalpur to document the key informant's perspectives on health system's preparedness to prevent the potential impacts of NCDs. Face to face Indepth interview was performed using open-ended questions. Interview guidelines were prepared on the basis of building blocks of health system. Information was processed basis on thematic analysis.
 Result: The study revealed that health section has NCD preparedness structure but need to strengthening for the better delivery of health services. The study highlights that screening services and the medicine for major NCDs like hypertension and diabetes were available at local level. Limited budget was allocated and health workforce was not trained for NCDs prevention and control. There was no reporting mechanism for NCD related data from local level.
 Conclusion: Basic medicine and screening services were provided from the local level to the selected NCDs such as hypertension and diabetes. There was no provision of reporting NCD related information and health workforce were not trained to respond NCDs. Local level health system strengthening is an urgent need to address the increasing burden of NCDs.
Highlights
Non-communicableDiseases (NCDs) are emerging as major public health problems throughout the world
Basic medicine and screening services were provided from the local level to the selected NCDs such as hypertension and diabetes
Ethical approval was obtained from Nepal Health Research Council (NHRC) and permission was taken from the municipality and different schools
Summary
Non-communicableDiseases (NCDs) are emerging as major public health problems throughout the world. To address NCDs, LMICs need more resources and need to redesigned their healthcare systems.[7] In Nepal, annual healthcare investment for NCD management is approximately US$ 16 per capita and 51 percent of disability-adjusted life years are a ributed to NCD.[8] Health care pending has only focused on specialized program including vaccine-preventable diseases, maternal and child health and infec ous diseases thereby limi ng its ability to respond the growing burden of NCDs. Ministry of Health and Popula on launched the Mul -sectoral NCD Ac on Plan in 20149 and established NCD and Injuries Poverty Commission in 20168 na onwide roll-out of WHO's Package of Essen al Non-communicable Disease interven on. Available data shows that NCD services fall short of popula on's needs.[10]
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
